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Individual

LOGAN WHINERY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2255 14TH AVE SE, ALBANY, OR 97322-8513
(541) 791-9566
Mailing address
1061 NE 9TH AVE APT 1529, PORTLAND, OR 97232-3501

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0019658
OR

Other

Enumeration date
10/13/2023
Last updated
10/13/2023
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